의학정보

王圭彰 대한의사협회 1999 대한의사협회지 Vol.42 No.3

학장의 리더십

왕규창 한국의학교육학회 2008 Korean journal of medical education Vol.20 No.3

두개골 혈관종을 동반한 시신경초 수막종 1예

왕규창,정영섭,한대희,지제근 대한신경외과학회 1983 Journal of Korean neurosurgical society Vol.12 No.2

Optic sheath meningioma arises from the arachnoid "cap" cell of optic nerve sheath and comprises most of primary orbital meningioma. It usually brings early visual loss, papilledema, and proptosis. The authors experienced a case of intraorbital optic sheath meningioma associated with a small skull hemangioma in the right parietal area, who presented only mild visual disturbance. The meningioma was removed transcranially without visual or cosmetic deformities except transient ptosis.

의과대학 4학년 학생들의 선천성 장애에 대한 견해

왕규창,조병규 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.5

A doctor has to establish his or her own philosophy of medical practice for the management of congenitally disabled patients. To help the senior medical students to put their ideas on the management of such patients in shape, a question which asked them to describe their views on the medical, social, ethical aspects of the management was included in the examination for the 225 senior students of Seoul National University College of Medicine in 1992. The responses were summarized. The dismal prognosis of some malformations, considerable cases of abandonment by the misconception of parents and doctors, the conflict among the family members c a d by the economic burden and social handicaps, the relative tack of support and the psychological and vocational discrimination by the society were among the prevalent problems. Of the 225 students, 131(58%) insisted that 'all' the congenitally disabled patients be provided with the best quality of treatment while 2602%) argued against the idea. Fifteen students(7 % mmmended to have a certain period of 'natural selection' and 14(6%) denied and warned against the doctor's role as a decision maker. Eleven students(5%) stated that the aggressive treatment should be confined to the patients who were selected by the medical criteria which supports the abandonment of poorly disabled patients. Three(1 % ) emphasized the 'prevention' as the ultimate goal. Twenty five( 11 "6 ) showed responses which lacked their own ideas or were inappropriate. Representative or unique statements are quoted. Though the ideas of students were not so contradictoIy to one another, the views were diverse as much as the variety of problems in the management of congenitally disabled patients. The authors believe it is worthwhile to ask medical students to think about the medically and ethically difficult situations before he or she becomes a doctor.

MRI로 진단된 척수공동증

왕규창,권양,김동규,정희원,장기현,조병규,한대희,심보성,최길수 대한신경외과학회 1986 Journal of Korean neurosurgical society Vol.15 No.4

Authors describe 10 cases of syringomyelia. Metrizamide myelogram and spine CT were done in all cases and 6 - 8 hours delayed CT and MRI were done in 8 cases. Syrinx cavity was noticed as a low intensity signal within the isodense spinal cord in T₁ weighted image of MRI. Syringosubarachnoid shunt, foramen magnum decompression or total removal with associated cord tumor were done in 7 cases with good results.

터키안과 뇌간에 파급된 안상의 배아세포종 1예

왕규창,고영초,김현집,심보성,지제근 대한신경외과학회 1981 Journal of Korean neurosurgical society Vol.10 No.1

Suprasellar germinomas have been defined as a distinct group from the clinical as well as therapeutic points of view. Germinomas of such location constitute less than a third of the total intracranial tumors of similar nature. The tumor has a tendency of direct infiltrative growth and distant drop metastasis through the cerebrospinal fluid pathway. Occasionally it metastasizes outside central nervous system. We experienced a case of suprasellar germinoma with intrasellar extension and brain stem involvement in a 25 year old man, which could be diagnosed with CT scan before autopsy.

면역효소측정법(ELISA)와 Praziquantel 약물요법이 중추신경계 낭미충증의 진단과 치료에 미치는 영향

왕규창,정천기,정희원,김동규,조병규,한대희,최길수,심보성 대한신경외과학회 1986 Journal of Korean neurosurgical society Vol.15 No.4

The diagnosis and management of neurocysticercosis have changed after the recent introduction of Enzyme Linked Immuno-sorbent Assay(ELISA) and praziquantel. Authors reviewed 11 cases of surgically proved neurocysticercosis in which these new diagnostic and therapeutic methods were applied. Age was widely distributed(range 16-59, mean 40 years old). Male preponderance was noted as in other reports. EUSA was tested in all cases and 10 out of 11 cases were strongly positive, while I case of degenerated cysticercosis was negative. Praziquantel was tried but failed in 5 cases before surgical intervention. Removed cysticerci were located in the fourth ventricle(5 cases), the parenchyme(3 cases), the lateral ventricle(l case), the cistern -parenchyme(1 case), and the cisterna magna(l case). Conclusions were as followings: ELISA was reliable in the diagnosis, but was deceitful as a quantitative base during follow-up. If progressive hydrocephalus was detected on the follow-up brain CT( computerized tomography) and no improvement was found clinically after praziquantel therapy in the case of positive ELISA and hydrocephalus, authors recommend ventriculography in the case of suspicious intraventricular lesion, or recommend shunting procedure in simple hydrocephalus. If the apparent mass disappeared after praziquantel or surgical intervention in the case of positive ELISA, but no improvement occurred clinically, then authors recommend considering of mixed type cysticercosis and performing the diagnostic work-up.

태아 중추신경계 기형에 대한 상담

왕규창 대한산부인과초음파학회 2001 대한산부인과초음파학회지 Vol.3 No.1

전공의 수련제도 개선

왕규창 대한의사협회 2011 대한의사협회지 Vol.54 No.4

Revision of the post-graduate medical education (PGME) system, which has been almost fixed since the introduction of the intern-resident training system in Korea more than 50 years ago, is particularly demanding because of changes in the contents of basic medical education and the patient-doctor relationship, division into sub-specialties, the introduction of fellowship training, changing patterns in doctors' work as information technology advanced, and the modifications to the PGME system in the advanced countries. The internship is not an effective course for PGME. The graduates of medical colleges or medical schools can practice by himself or herself without a PGME course. The durations of PGME for various subspecialties are almost the same: one year of internship and four years of residency. The working conditions of trainees are not adequate for proper education and patient safety. Current internships should be merged into residency by a straight internship. PGME should be mandatory for those who want to practice after graduation from medical colleges or medical school without resident training. The duration of PGME for each subspecialty should be newly adjusted. The working conditions of trainees must be improved. Even though this report suggests future directions for PGME on a broad scale, fine adjustment and design of further details should follow. This report has taken comments and opinions from the medical societies into consideration. Nonetheless, it may need further discussion among the stakeholders of PGME including trainees in order to minimize misunderstanding and 'trial and error' during the revision process.

소아 신경외과 환자의 임상적 분석 : 1957~1982

왕규창,김현집,조병규,심보성 대한신경외과학회 1983 Journal of Korean neurosurgical society Vol.12 No.4

The authors analyzed pediatric (under 15-year of age) neurosurgical patients admitted to the Department of Neurosurgery of the Seoul National University Hospital during the 26-year period from 1957 to 1982. The results were as follow : 1) Among the total 13,941 neurosurgical admission cases during this period, pediatric cases were 2,543 (18.2%) in number. 2) The male to female ratio was 2.2:1. 3) The total admission cases consisted of traumatic (56.9%), congenital (9.7%), infectious (7.2%), neoplastic (12.0%), vascular (2.4%), and miscellaneous (11.8%) lesions. The proportion of traumatic lesion has been getting smaller since early 1970's while those of other lesions, especially neoplastic one, larger. 4) Among the 2,543 admissions, 853 cases (33.5%) were operated. The annual operation rate gradually increased since mid-1970's. 5) The total admission and operation mortalities were 6.6% and 7.7%, but those figures of 1980's were 3.1% and 3.4%, respectively.